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West Leicestershire Clinical Commissioning Group

healthy beheard

Members’ Magazine | Autumn 2012 www.wlmembership.org

Step out in the county

Tackling health head on

Win Leicester Tigers tickets


Dear members, Welcome to the second edition of our magazine for West Leicestershire be healthy be heard members As autumn approaches, the countdown to West Leicestershire CCG assuming full responsibility for the commissioning of local healthcare services continues. In July this year we successfully completed the first part of the NHS Commissioning Board’s (NHS CB) authorisation process with the submission of our commissioning strategy and other important documents. In September we’re due to be visited by a panel of NHS CB experts who will ultimately decide if our CCG is ready to take over the reins when primary care trusts cease to exist in April 2013. Turn to page four to find out more about this important process. On page five you can find out more about our review of the five community hospitals in West Leicestershire. Sincere thanks to those of you who took the time to complete our questionnaire and give us your views, your feedback will help inform our future planning for these services. In the last issue of our magazine we touched on proactive care, which aims to change the balance of where and how care is provided, and focus on prevention, self care and ensuring more consistent standards of

primary care. Turn to page six to find out more about our work in this area. Autumn’s a great time of year to get outside and get fit before the winter weather sets in. Why not take some time to stretch your legs in one of our county’s beautiful country parks. Find out more on pages eight and nine. Congratulations to Mrs Jean Spare, from Loughborough, who won the digital camera prize from the wordsearch competition in our summer issue. Turn to the back page of the magazine for your chance to win two tickets to a Leicester Tigers game. Wishing you a very healthy and happy autumn. Dr Nick Pulman Chair, West Leicestershire Clinical Commissioning Group

us: Contact

If you have a practical tip, health suggestion or an interesting story, please send it for inclusion in the next issue using the contact details below. We are also looking for cover stars – send us your picture and health story if you would like to appear on our cover Email: info@wlmembership.org Post: Please send all correspondence to: West Leicestershire Clinical Commissioning Group Freepost ADMAIL 4149 Loughborough LE11 1YW Telephone: 0300 555 5345 Please note that the membership helpline is open between 9am and 5pm, Monday to Friday. Published by: NHS Leicester, Leicestershire and Rutland PCT Cluster, Fosse House, 6 Smith Way, Grove Park, Enderby, Leicestershire LE19 1SX

2 Autumn 12, Issue 2: be healthy be heard


Tackling health head on

Meet our cover stars, the student members of the Loughborough Women’s Rugby Club, who prove that team sports are a great way to get fit High contact sports don’t often make it onto the curriculum for the average student, but for over 40 women aged 18 to 27 studying at Loughborough University, the rugby club provides an excellent opportunity to develop their fitness, build new

concentrating on advanced skills and preparing for games.” Rugby is not only good for the body with skills in kicking, tackling and rucking leading to improvements in strength, stamina and speed but it is also great for the mind.

…it’s a great feeling to come down to training or a game and forget about any worries or problems, even for a few hours relationships and help manage the everyday stresses of student life. With up to four training sessions a week preparing them for a host of league and town matches, team captain Jess Robinson tells us what she loves most about the sport. “There’s always a strong fitness element in our training sessions but it never gets boring as it’s always rugby related. We’re so absorbed in the rugby that we barely notice how hard we’re working. Our training is adapted to our skill level with newer players focusing on basic skills like passing and catching, and the more experienced players

“It’s a great mental release,” adds Jess, “it can really help through periods of stressful university work and it’s a great feeling to come down to training or a game and forget about any worries or problems, even for a few hours. “We have fantastic facilities in Loughborough and access to a strength and conditioning coach who provides us with fitness programmes we can follow in the gym. Stamina is important as a normal match lasts 80 minutes and players will usually stay on the pitch for the whole game.” Such a high intensity sport requires healthy eating and the

players are encouraged to eat a high carbohydrate meal the night before a game and ensure they stay hydrated during a match. Jess tells us that they’re also advised to eat enough calories to sustain their training and protein is particularly important to help with growth and repair. The team are also keen to dispel popular misconceptions about the sport, “Many people think you need to be butch to play but some of our best players are the smallest people on the team.” says Jess, “The truth is that rugby is a game for everyone and no matter what your shape, size or strengths there will be a position for you on the field.” The Loughborough Women’s RFC is made up of both Loughborough University students and Loughborough locals. The student-based team play in the British University and Colleges Sport (BUCS) league and made it to the semi-finals this year. If you would like more information on the club, contact Jess Robinson at j.robinson-10@student. lboro.ac.uk. The club is also on Facebook: www.facebook.com/ LSWRFC and Twitter: @Lboro_ SWRFC Autumn 12, Issue 2: be healthy be heard 3


Before Clinical Commissioning Groups (CCGs) like ours can take on full responsibility for commissioning local health services, we must be authorised by the NHS Commissioning Board (NHS CB) This authorisation process ensures that we meet the required standards of governance and that we have the necessary plans and processes in place to make the most efficient use of our budget.

Proving ourselves The NHS CB assesses us at a number of stages, the first being a 360° stakeholder survey, and the second a desktop survey, or in other words the submission of a wide range of supporting plans and strategy documents which give us the opportunity to prove

The countdown to commissioning responsibility

(on paper) that we are ready to take on our commissioning duties. As well as submitting documents like our commissioning strategy, we also have to provide case studies to demonstrate how we have involved stakeholders, focused on quality, and considered the needs of vulnerable groups.

Where are we now? We successfully completed this part of the process in July this year, and in September we will take part in the final stage of the process, a site visit by a panel of experts

including senior members of the NHS CB, a clinical leader from another CCG, an independent lay assessor and finance and commissioning experts. This visit will determine whether we have met all the necessary requirements, and if successful, we will be able to take on full commissioning responsibility in the area from April 2013. You can find out more about the authorisation process on the NHS CB website at: www. commissioningboard.nhs.uk/

NHS Commissioning Board takes shape David Sharp, currently Chief Executive of NHS Derbyshire PCT Cluster, has been recruited to the position of Local Area Director for the NHS Commissioning Board (NHS CB) David will head up the NHS CB’s local area team for Leicestershire and Lincolnshire and is currently working with existing chief executive of the NHS Leicester, Leicestershire and Rutland PCT Cluster, Catherine Griffiths, to agree a formal handover of responsibilities. The NHS CB will have 27 local area teams across the country, all of which will have the same 4 Autumn 12, Issue 2: be healthy be heard

services, dental services, pharmacy and certain aspects of optical services, and it’s thought that ten teams will lead on specialised commissioning across England. A smaller number of teams will also carry out the direct commissioning of other services, such as military and prison health. core functions including: clinical commissioning group (CCG) development, emergency planning, resilience and response, quality and safety, and stakeholder engagement. Senior members of the teams will also play an active role on health and wellbeing boards. The local area teams will be responsible for commissioning GP

The NHS CB takes on its full statutory responsibilities in April 2013 and in the meantime, all current NHS planning and delivery responsibilities remain with the Department of Health, strategic health authorities and primary care trusts. Find out more at: www. commissioningboard.nhs.uk


Community hospitals

– the way forward

This summer we carried out a review of services at our five community hospitals in West Leicestershire. The review aimed to make sure that the care provided meets patients’ needs and also to look at how the hospitals can be best used in the future The five hospitals in West Leicestershire are: • Loughborough Hospital • Ashby and District Hospital • Coalville Community Hospital

A questionnaire was distributed to 380 stakeholders, many of which were then asked to distribute the survey within their own networks helping to increase our coverage. In total 372 people responded to the questionnaire. When asked what factors were most important in a community hospital, 95.9 per cent felt that quality of care was key, followed by patient safety (86.5 per cent) and then care provided by a clinician with specific expertise in a patient’s condition (81.9 per cent). Most of you were very pleased with services provided in community hospitals but indicated concerns around communication,

transport, use of beds and waiting times, highlighting areas for improvement in these services. Suggestions for new services included palliative care, respite care and surgery. When asked if any current services provided in community hospitals should be stopped, the overwhelming response was ‘no’. Thanks so much to all of you who took the time to give us your views, and those of you who helped distribute our survey more widely. These findings will help inform our future plans for delivering community services in West Leicestershire.

• Hinckley and District Hospital • Hinckley and Bosworth Community Hospital

Autumn 12, Issue 2: be healthy be heard 5


Care Proactive

Helping patients get the right care at the right time from the right people

Proactive care is an exciting project being undertaken by West Leicestershire CCG to improve patient care.

The main focus of the project is to make sure people with long term conditions such as diabetes, blood pressure problems or lung conditions get the right care, at the right time, by the

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right people. It aims to reduce the risk of emergency hospital admissions, improve quality of life and provide patients with a better understanding of their condition, leading to greater independence so they can be cared for in their own homes or usual place of residence.


Sounds great but how will it work? GPs will conduct a risk assessment on patients with long term conditions to identify those who are most likely to be admitted to hospital in the near future and those who need more help to selfmanage their condition. They may then offer the patient the services of a “virtual ward”. The virtual ward is a new way of coordinating health services in West Leicestershire. When a patient receives care in hospital all the team members including doctors, nurses and therapists work closely together to ensure their needs are best met.

Coordinating care in the community is more complex as team members do not all work from the same base. The virtual ward will ensure the care patients receive from GPs, district nurse specialist teams or social services in their own home is closely coordinated and delivered in an efficient way without duplication. West Leicestershire CCG is planning to have ten virtual wards in place by the end of 2012. Take a look at the diagram below to see how the Proactive Care patient journey works, including the type of health care professional who may be involved in a virtual ward.

How can you get involved? We’re encouraging patients, carers and the public to give their views and help out with the development of the Proactive Care Programme. There are a variety of areas where your contribution would be really valuable: • reviewing and influencing the information given to patients and carers about conditions • supporting the development of self-management • reviewing the Proactive Care patient journey to make sure that it is patient focused • participating in the development of a patient centred care plan. If you’d like to help or have any suggestions or queries about the programme please contact Cathrina Tierney-Reed at cathrina.tierney-reed@ westleicestershireccg.nhs.uk or call 01509 567793.

Autumn 12, Issue 2: be healthy be heard 7


Walking

– take a step in the right direction

Autumn is all about change so why not take the opportunity to make a few simple changes to your lifestyle and get walking this season?

Turn your walk into a work out To get the most out of your walk you should aim to break a sweat and raise your heart rate, so your pace will need to be faster than a stroll. If you’re new to walking as a hobby, you should start each walk slowly and gradually increase your pace as you go. As you near the end of your route, start to slow your pace to cool down and when you’re done, a few gentle stretches can help improve your flexibility. 8 Autumn 12, Issue 2: be healthy be heard


The average person walks anywhere between 3,000 and 4,000 steps a day. Increasing your step count is not only good for your health, but is also a really enjoyable past time. Regular brisk walking reduces the risk of cardiovascular disease, stroke, type two diabetes, some cancers and asthma, and increasing your step count to around 10,000 steps per day could also help with weight loss, general fitness and reduce stress.

You don’t need any specialist equipment, just a good pair of comfortable shoes or trainers that provide adequate support and won’t cause you blisters. Loose fitting clothing is also recommended and if you’re going on a longer walk you may like to take a bottle of water and some healthy snacks. Walking is also a great activity to do with your family and friends. Why not pack up a picnic, and take a walk around one of the county’s many great locations?

A walk in the park As you walk through Market Bosworth Country Park one of the first things you’ll notice is the diversity of flora and fauna on offer. With a planted arboretum, wildflower meadow, fishing lake and a bird feeding station there is plenty to see as you walk along the network of paths. The pathways are well cared for making the walk around the parkland easy underfoot and also suitable for buggies and wheelchairs. There’s also a children’s play area and picnic benches making this a great location for an afternoon out with the family. You’ll need to bring your own refreshments as there are none available at the park so why not make up a batch of our mini apple and banana muffins from page 14 to take with you? For those who want to increase their pace the terrain is reasonably level and your work out will fly by as the scenery flits between shady woodland and open meadow. Straying off the main park footpath and onto the public footpaths will also provide you with an alternative route across pasture land.

Find out more information on walking, including other local routes, clubs and parks at: NHS Choices: www.nhs.uk/ Livewell/getting-startedguides/Pages/getting-startedwalking.aspx Leicestershire County Council website: www.leics.gov. uk/index/environment/ countryside/walking.htm

If it’s wildlife you’re hoping to spot on your walk then the bird feeding station provides a great pit stop along the way. Peering through the specially constructed viewing areas offers the opportunity to view a variety of local birdlife as they perch on feeders strung between the trees. Visiting the park around dusk is the best time to catch a glimpse of local mammals including foxes, muntjac deer and bats. For more information on Market Bosworth Country Park visit www. leics.gov.uk/index/environment/ countryside/countryparks/ bosworthpark.htm where you can download a map of the routes across this beautiful parkland.

Autumn 12, Issue 2: be healthy be heard 9


Make sure your health

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tyle oho , t lifes re but alc our body n e r d u y e ten. t h s n o d you the osp at f n ct o The h fi m a t t y p s a ma t. In rty t im xces ht ou sk its pa significan rink to e o you s g i n n o a td er ri eavy trati have you don’ rah ncen great umber of e o t t f c a a f r i u ffers s you ts yo dan even ffect mance su o pu sease an a s l l a o g di Alcoh ic perfor r drinkin heart d imits a m l n e u a our l larly er y v acad term reg i l w s kno r egu ch a nt to uld not r longe nesses su a t r o ill sho en imp rs. from , it’s men ance wom d c t d n a t i n h n t a m re es in ay diffe risks dvice stat units a d e s e h r a t t fou With vernmen ee to of r h o t g han um and , ore t a maxim Get registered m mind k n o i t r drin k a c e i t B ld s its. If you’re movi ine shou three un ng away from of w ) l m home o 5 t f to 2 o st 1 u d ( t y, yo n s two u i ’ll s n p ee a l d to d g register an all with a local G a sm 1.5 units ts, it only P to make sure i r e n e you can access can b an be 2 u to go ov health services s c k r quickly and ea rin d lage w si ly. a fe unts. The registratio takes aily amo n process is stra and you can ch d ightforward oose to registe nt to a n t , those a r s c r o y w l it ce a h p n o an tr e y w h o m lo r i cal health surgery. Your lco ore so her college or univ It’s al ber that a risk in ot an attached h you m er s si ty e may have k ealth centre an g a m at d the staff wo nk m havin reme r health w u ill r r b e o ex d rk perienced in re ing there ou ng nce sponding to th put y mple, bei viole of students. R f e h o ea lt h needs eg im istering somew xa h a vict for e er im e lo p e ca o rt l l an b is t particularly if you have an to . oho on-going healt likely t alc d sex such as diabet e u t h o co c ndition b e es , asthma or ep ot ore a luding a ile unpr p sy m . t Yo u should also c u consider regis nd o ealth, in elp track tering with a lo To fi an h h d / fi r n o an k u t ci cal dentist al u su . o p p s p y o rt p h fo r d a n tr ea . tment, prescri e an w o n th er w o h ea p h lt ti w h ons and costs may be av : rtp visit ailable. To fin , sma n s e a t re i st d your health centre un ol and dentist su your ll/Alcoh www.nhs.uk/L rg e ry visit: e ivewell/stude nthealth LiveW 10 Autumn 12, Issue 2: be healthy be heard


This autumn, West Leicestershire City CCG is encouraging you to choose better when deciding where to go for treatment if you are ill or injured As the weather becomes colder it’s often a time when the emergency department and ambulance service are put under increased pressure from winter illnesses and injuries. However there are many alternative services you could use to get the treatment you need and the Choose Better campaign aims to help you make the right choice. Self Care. For very minor illnesses including coughs, colds, sore throats and upset stomach; these can all be treated at home with a well-stocked medicine cabinet. NHS Direct is a 24 hour, confidential helpline. Patients

Sore throat Should have

treated themselves at home from their medicine

Unsure or confus ed about an illness Should have call NHS Direct

ed

Painful cough Should be at the Pharmacy

Making the right

choice can call 0845 46 47 to get health advice and guidance, or if you are unsure of where to go locally for help. To find out more visit www. nhsdirect.nhs.uk NHS Choices is a website where you can find up-to-date, expert advice on a range of illnesses and complaints as well as find your nearest pharmacist, GP, dentist and walk in centres. Visit www. nhs.uk. Your local pharmacy can treat coughs, colds, sore throats, ear or toothaches. You can also get advice on prescription medicines and contraception. All requests for advice are treated in confidence. Your GP can help with vomiting, ear pain, sore stomach and back

Stomach ache Should be at the GP

cabinet

Minor cuts Should be at the Urgent Care Cen

tre, Walk-in Centre or Minor Injuries Uni

t

Severe chest pai n Should have been at the Find out more

You can choose better

The Emergency Department is for serious and life Heavy bleeding, threatening broken bon

pain that won’t go away. They should be your first port of call if you are unwell and many GPs offer extended opening hours at evenings and weekends. If you require a GP outside of normal surgery hours call the GP Out of Hours service on 0845 045 0411.

conditions: es, burns or sca Many patients can lds, chest pain, be treated elsewh strokes. Please play your ere. The Emergenc part. Visit www.c y Department is hoosebetter.o Local libraries hol for real emergenc rg.uk to find the d leaflets. ies only. right place for trea tment.

front of the queue

Walk in centres, urgent care centres and minor injury units can be used for minor illnesses and injuries including deep cuts, burns and strains. Therefore this would be the most appropriate place for many sporting injuries for example. You will be seen by an experienced nurse without appointment. X-ray is also available at some locations. The Emergency Department and 999 should only be used in an emergency, a critical or life threatening situation. Only call 999 in the event of a serious accident or illness which involves traumatic blood loss, chest pain or loss of consciousness. For more information on Choose Better visit www.choosebetter. org.uk. Blackberry, iPhone and Smartphone users can also scan a special barcode available on Choose Better posters or the website to carry the information on where to go for medical treatment with them on their phones.

Autumn 12, Issue 2: be healthy be heard 11


Are you flu safe? As the autumn sets in and winter approaches, it’s time for those at greatest risk from flu to protect themselves and their families, and get flu safe with a free flu jab Flu is a highly contagious infection that anyone can catch, and it can be a really serious illness for some. Those at greater risk from flu include people aged 65 or over, pregnant women, and those with health conditions such as asthma, chest or heart complaints and diabetes. From October 2012, those people at most risk will be encouraged to get flu safe with a free flu jab from their GP. The NHS in England is launching the new Flu Safe campaign to remind people that they should get a flu jab. Flu Safe is a national message to highlight the importance of getting the jab, and carries facts about flu to dispel common misconceptions. Flu is not just a cold – it can be a really serious illness for some people and it doesn’t just affect older people. If you’re pregnant, have lowered immunity or a long term health condition such as severe asthma, a chest or heart complaint, or diabetes then you should also get a free flu jab from your GP and get flu safe. The flu jab is completely safe, and it can’t give you flu. Everyone in Leicester, Leicestershire and Rutland who knows anyone who may be at risk from flu is encouraged to tell them how important it is so that they get protected. People who are carers and frontline health and social care staff are

also encouraged to get a free jab to protect themselves and those around them.

early and get flu safe in time for the winter.

The flu vaccine changes every year to fight the latest strains of flu, so even if you had a jab last winter you need another one this year to stay flu safe. The jab doesn’t contain the ‘live’ virus so it cannot give you the flu.

Simply contact your GP to arrange a convenient appointment and get your jab. It’s quick, safe and free for those most at risk from the virus.

Flu can increase the risk of developing more serious illnesses such as bronchitis and pneumonia, and can make existing conditions much worse. Flu can knock you off your feet and make it hard to look after the kids or go to work. In the most serious cases, seasonal flu might land you in hospital – it can even be a killer.

For more information, speak to your GP or local pharmacist, or visit www.nhs.uk/flu.

If you’re in any of the ’at risk’ groups, the flu jab is completely free and is a safe way of protecting you and your family in a matter of minutes. The best time to be vaccinated is at the start of the flu season from October to early November, so it’s good to get in

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Information at push of a button At the beginning of August, West Leicestershire Clinical Commissioning Group (WL CCG) launched its new website so patients and members of the public can access health information at the click of a button The site’s brightly coloured design and simple navigation enables patients to easily pick up information on the CCG, find out how to get involved in their local healthcare as well as providing access to comprehensive information on local health services such as GPs, pharmacies and hospitals.

health priorities for the next three years. They can also find out how to get involved with participation groups and have their say on important decisions which will help to shape the future of health services in West Leicestershire. This will give them a better insight to the work we do and how we try and involve local people.”

There are also links to local lifestyle services such as Change4life, the NHS stop smoking service and psychological therapies. A section has also been created to host information on the West Leicestershire CCG Board including details of its members and online copies of board papers and minutes from CCG meetings.

You can also find out about our commissioning strategy for 2012/2015 which sets out what services and health resources the CCG will buy over the next three years as well as outlining which health issues in the area we’ll focus on as a priority.

Dr Nick Pulman, Chair of West Leicestershire CCG, said: “Patients and the public can access information regarding our

Log on to the site at www. westleicestershireccg.nhs.uk or for more information, call 01509 567700 and speak to a member of the team.

Autumn 12, Issue 2: be healthy be heard 13


Mini apple and banana muffins Muffins are very easy to make, and they’re perfect for breakfast on the go. You can freeze them too, so you don’t have to eat them all at once Serves: 12 adults | Preparation time: 20 minutes | Cooking time: 25 minutes Ingredients: 150g plain flour 1½ tsp baking powder 50g caster sugar 100ml semi-skimmed milk 1 egg 1 tsp vanilla extract (optional) 40g low-fat spread, melted 1 medium apple peeled, cored and chopped 1 banana, mashed

Nutritional information: Per muffin (1/12 recipe) 93 kcals 2.4g protein 2g fat (of which 0.6g saturates) 17g carbohydrate (of which 7g sugars) 0.5g dietary fibre 623mg sodium 1.5g salt

What to do: Preheat the oven to 200°C, fan 180°C, gas mark 6. Put 12 paper cases into a bun tray. Sift the flour and baking powder into a mixing bowl, then stir in the sugar. Put the milk, egg, vanilla extract and melted low-fat spread in a jug and beat together. Add to the dry ingredients with the apple and mashed banana. Stir until just combined. Do not over mix. Spoon the mixture into the paper cases and bake for 20 to 25 minutes, until the muffins are risen and golden. Carefully take the muffins in their paper cases out of the bun tray. Cool on a wire rack.

You can find more delicious recipes like this one on the Change4Life website at www.change4life.co.uk

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A LINk to the future

In April 2013, Local Involvement Networks will be replaced by Local HealthWatch Leicestershire LINk is working on their vision for what this will look like but primarily, your Local HealthWatch will be an independent and proactive consumer champion, giving everyone a real say on how their local health and social care services are run.

Local HealthWatch will retain all involvement and scrutiny functions of the LINk, including: • promoting involvement of patients and the public • obtaining their views • monitoring health and care services • making reports and recommendations • carrying out ‘enter and view’ visits to all publically funded health and social care services. If you want to know more about what this will look like locally or be involved in shaping the vision, call the Leicestershire LINk on 0116 229 3103.

CHRISTMAS

PARTIES 2012 EVERYONE LOVED

Christmas 2011

Over 6,000 guests enjoyed our party nights in 2011 and this year we’re delighted to bring you Christmas Rocks @ Welford Road Stadium. Delicious food, sparkling surroundings, the option of a fantastic live band and then our resident DJ to round off the night – a perfect way to get Christmas started! Contact us:

Leicester Tigers @ Welford Road Stadium Aylestone Road, Leicester LE2 7TR

Call us on: 0116 2171280

Email us at:

conferenceandevents@welfordroad.com

Visit us at:

www.welfordroad.com

Autumn 12, Issue 2: be healthy be heard 15

@WR

S T A D I U M

tigersconferenceandevents


Win two tickets to a Leicester Tigers game To win this great prize, complete the Sudoku puzzle and tell us, reading from left to right, the four digits in the green squares Each Sudoku grid contains nine squares, each consisting of nine spaces; each square must contain the numbers one through nine, with no repeats. In addition, every horizontal row and vertical column must contain the numbers one through nine, with no numbers repeated. Answer: Name: Membership number: Email address: Cut out this page and post your completed Sudoku to: West Leicestershire CCG Freepost ADMAIL 4149 Loughborough LE11 1YW The closing date for entries is 31 October 2012. The first correct entry randomly drawn will receive the prize.

We can provide versions of all be healthy, be heard membership publications in other languages and formats such as Braille and large print on request. Please contact the engagement and involvement department on 0116 295 7626. Please state which publication you require when you call.

Somali

Polish

Urdu

Punjabi

Gujarati

Hindi

Bengali


Membership Magazine West Leicestershire Issue 2